MEDICARE: STEPHANIE GRAFTON APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0024187488	VA

General Provider Information

NPI Number	:	1760160808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE GRAFTON APRN

Provider Business Mailing Address
First Line	:	3352 PRINCESS ANNE RD STE 909
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-2608
Country	:	US
Telephone Number	:	757-707-1231
Fax Number	:	757-707-1232

Provider Business Practice Location Address
First Line	:	3352 PRINCESS ANNE RD STE 909
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-2608
Country	:	US
Telephone Number	:	757-707-1231
Fax Number	:	757-707-1232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	07/10/2023

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